Performance Assurance Analyst

Sedgwick•Telecommuter TX, IA

3d•$60,000 - $70,000•Remote

About The Position

Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest quality of work product is delivered to our clients; confirm our adjuster’s claim files comply with specific client handling guidelines and company standards; and identifies trends in non-compliance to recommend training opportunities that exist.

Requirements

Must be eligible to be a licensed All-Lines adjuster.
Five (5) years of related experience, to include three (3) years of claims handling, including three (3) years at an advanced technical level as a file reviewer of personal and commercial claims, or equivalent combination of education and experience required.
Strong knowledge of claims handling and file review practices and procedures
Versed in quality and auditing processes
Proficient in electronic estimating using Xactimate or Symbility
Excellent oral and written communication skills, including presentation skills
PC literate, including Microsoft Office products and digital resources
Analytical and interpretive skills
Strong organizational skills
Ability to learn how to navigate virtual meeting, screen sharing, and collaboration applications
Self-motivated with an ability to thrive in a remote work environment
Excellent interpersonal skills
Ability to create and complete comprehensive, accurate and constructive written reports
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Nice To Haves

Bachelor's degree from an accredited college or university preferred.
Completion of industry-related training course(s) preferred.

Responsibilities

Executes the quality assurance program by completing quality reviews of Personal and Commercial Lines claim files using Xactimate and Symbility with varying degree of severity (up to approximately $300,000).
Interprets policy and client guidelines on personal and commercial lines claims to ensure compliance.
Guides field colleagues on revisions as required to ensure compliance with client guidelines and company standards.
Completes revisions as required via Xactimate and/or Symbility as appropriate.
Documents review findings in accordance with team processes.
Identifies and provides training and improvement opportunities to the Team Lead to meet established operational and technical audit requirements.
Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national quality initiatives at the local and/or SBU level.
Provides feedback to the Team Lead to contribute to the performance management review meetings and group training, as needed.
Maintains technical claims handling and estimating and jurisdictional expertise.
Performs other duties as assigned.
Travel as required